NATIONAL HEALTH

INSURANCE SCHEME
DRUG PRICE LIST

 2nd edition, 2013

 www.nhis.gov.ng
 2

NATIONAL HEALTH INSURANCE SCHEME

DRUG PRICE LIST AUGUST 2013

NAME OF DRUG DOSAGE FORM STRENGTHS PRESENTATION PRICE (N)

1. ANAESTHETICS

1.1. GENERAL ANAESTHETIC

Halothane Inhalation, Liquid 10 mg/ml in 20 ml, 250ml bottle #
Ketamine Injection(HCL) 50mg/ml in 10ml, 100mg/ml in 5ml vial #
Nitrous oxide Inhalation, medicinal gas #
Oxygen Inhalation, medicinal gas #
Injection (powder) for IV as sodium
Thiopental 100 mg/ml in 5 ml Vial #
salt

1.2. PREMEDICATION DRUGS AND ANALGESICS ADJUVANTS

Atropine Injection (sulphate) 0.5mg/amp Amp. 50.00
Atropine Injection (sulphate) 1mg/ 1ml Amp. 50.00
Diazepam Injection 5mg/ml in 2 ml Amp. 150.00
Hyoscine N -Butylbromide Injection 20mg/ml amp 20.00
Morphine Injection (Sulphate or Hcl) 10 mg/ml, 15mg/ml in 1ml ampoules Amp 200.00
Morphine Injection (Sulphate or Hcl) 25mg, (Hydrochloride) Amp 300.00
Promethazine Tablets 5mg/5ml Tab. 5.00
Promethazine Syrup 25mg/ml (HC1) in 1 ml 60mls 150.00
Promethazine Injection 2ml Ampoule Amp 20.00

1.3. SKELETAL MUSCLE RELAXANTS AND ANTAGONISTS

Atracurium Injection 50 mg/ml Amp. 1,600.00
Edrophonium Injection (chloride) 10mg/ml Amp #
Neostigmine Injection (methylsulphate) 2.5mg/ml in 1ml ampoule Amp 250.00
Pancuronium Injection (Bromide) 4mg/2ml Amp 360.00
Pancuronium Injection (Bromide) Amp. 360.00
Suxamethonium Injection( Chloride) 100mg/2ml Amp. 250.00

1.4. LOCAL ANAESTHETICS

NHIS, 2015
 3

Lidocaine Injection (HCL) 1%, /2% + Adrenaline 1:200000 Vial50mls 400.00

Bupivacaine Injection (HCL) Plain or with epinephrine Amp 800.00
Lidocaine 10% 400.00
Lidocaine Topical spray 2-4% Spray 1,500.00
Lidocaine Jelly 2-5% Tube 900.00
Lidocaine Cream, Ointment 2% + epinephrine (adrenaline) 1:80,000 Tube 850.00
0.25%, 0.5%, in 10ml amp (with or without epinephrine
Lidocaine Dental catridge Tube #
(adrenaline) 1:200,000)
Prilocaine Injection 3% with felypressin 0.03units/ml Amp 800.00

2. ANALGESICS, ANTIPYRETICS AND NON- STEROIDAL ANTI-INFLAMATORY DRUGS

2.1 ANALGESICS NARCOTIC

Morphine Injection 10mg ( SO4 or HC1) in 1ml Ampoule Amp. 200.00
Morphine Injection 15mg ( SO4 or HC1) in 1ml Ampoule Amp. 300.00
Morphine Tablet 30mg Tab. 100.00
Pentazocine Injection ( lactate) 30mg/ml Amp. 200.00
Pentazocine Tablet 25mg Tab. 50.00
Pentazocine Capsule 50 mg Caps. 50.00
Pethidine Injection 50mg/ml in 2 ml Ampoule Amp. 200.00
Pethidine Injection 50 mg Amp. 150.00
Pethidine Tablet 50mg 0r 100mg Tab. 50.00
Tramadol Tablet 50mg Tab. 30.00
Tramadol Injection 50mg/ml ampoule Amp. 100.00

2.2. NARCOTIC ANTAGONIST

Naloxone Injection 0.4mg/ml in 1ml Ampoule Amp 3,500.00

2.3. NON NARCOTIC ANALGESICS AND ANTIPYRETICS

Acetyl salicylic Acid Tablet , capsule 300mg Tab/Caps. 2.00
Paracetamol Tablets 500mg Tab 3.00
Paracetamol Suppository 100 mg Supp. 30.00
Paracetamol Syrup/suspension 125mg/5ml 60mls 120.00
Paracetamol Drop 125mg/5ml 15mls 200.00
Paracetamol Injection 150mg/ml Amp. 30.00
Paracetamol Infusion 50mls Inf. 400.00

2.4. NON-STEROIDAL ANTI-INFLAMMATORY DRUGS AND DRUGS USED FOR GOUT/RHEUMATOID ARTHRITIS.
Allopurinol Tablet 100mg Tab. 20.00
Celecoxib Capsules 200mg Caps. 180.00
NHIS, 2015
 4

Chondriotin sulphate+ Glucoseamine Capsules 200mg+250mg Caps. 60.00

Diclofenac (sodium or potassium salt) Tablet 100mg, Tab. 20.00
Diclofenac (sodium or potassium salt) Tablet 50mg Tab. 15.00
Diclofenac (sodium or potassium salt) Injection 25mg/ml Ampoule Amp. 50.00
Diclofenac sodium Gel 1% Tube 400.00
Diclofenac sodium + misoprostol Tab Single Tab 65.00
Diclofenac sodium + misoprostol Tab Forte “ 65.00
Diclofenac sodium + misoprostol Tablet 50mg/200mcg Tab 70.00
Diclofenac sodium + misoprostol Tablet 75mg/200mcg “ 80.00
Diclofenac sodium+B1+B6+B12 Tablet 20.00
Diclofenac sodium+Cholestyramine Tablet 75mg/65mg Tab 150.00
Ibuprofen Tablets, capsules 200mg, Tab. 10.00
Ibuprofen Tablets, capsules 400mg Tab 20.00
Ibuprofen Suspension 100mg/5ml 100mls 250.00
Ketoprofen Capsules 150mg or 200mg Caps./tabs 50.00
Ketoprofen Injection 100mg 2ml Amp 100.00
Naproxen Tablet 250mg Tab. 40.00
Naproxen Tablet 500mg Tab. 60.00
Piroxicam Capsules 20mg Caps. 10.00
Piroxicam Injection 10mg/ml 2ml Amp 100.00

2.5 SKELETAL MUSCLE ANTISPASMODICS

Ophenadrine Tablet ( citrate) 100mg Tab. 20.00
Orphenadrine + Paracetamol Tablet (citrate) 35mg+ 450mg Tab. 20.00
Tizanidine Tablet 6mg Tab. 50.00

3. ANTI-ALLERGICS

3.1 ANTIHISTAMINES
Cetrizine Tablet 10mg Tab. 30.00
Cetrizine Syrup 1mg/5ml 100ml 1,500.00
Chlorpheniramine Tablet 4mg (Maleate) Tab. 5.00
Chlorpheniramine Syrup 2mg/5ml 60mls 180.00
Chlorpheniramine Injection 10mg (Maleate) in 1ml Ampoule Amp. 25.00
Clemastine Tablet 1mg Tab. 20.00
Clemastine Syrup 500mcg/5ml 100ml 400.00
Loratidine Tablet 10mg Tab. 20.00
Loratidine Syrup 5mg/5ml 60ml 1,000.00
Promethazine Tablets 25mg, (Hydrochloride) Tab. 5.00

NHIS, 2015
 5

Promethazine Syrup 5mg/5ml 60mls 150.00

Promethazine Injection 25mg/ml (HC1) in 1 ml and 2ml Ampoule Amp. 20.00

3.2. ANTIANAPHYLACTICS
Dexamethasone Injection (sodium phosphate) 4mg/1ml Amp 20.00
Epinephrine (Adrenaline) Injection 1mg/ml (1 in 1000) as Acid tartrate or Amp. 30.00
Epinephrine (Adrenaline) Injection HC1 in 1ml Ampoule Amp. 30.00
Hydrocortisone Injection Powder for reconstitution, 100mg Vial 120.00
Hydrocortisone Injection (Sodium Succinate) in vial Vial 120.00

4. ANTIDOTES

4.1 SPECIFIC ANTIDOTES

Atropine Injection 1.0mg (Sulphate) in 1ml Ampoule Amp. 50.00
Atropine Tablet 1 mg Tab. 50.00
Deferoxamine Injection (mesilate) 500 mg/vial Vial 2,250.00
Dimercaprol Injection 50 mg/ml in 2 ml Ampoules Amp. #
Methylene blue Injection 5ml Amp. 400.00
Methylene blue Injection 50 ml Amp. 2,500.00
Naloxone Injection (HCL) 400mcg/ml Amp. 3,500.00
Phytomenadione (Vitamin K1) Ampoule 10mg/ml in 1ml Amp. 180.00
Potassium ferric hexacyanoferrate(11) (Prussian
Powder for oral administration Powder #
blue)
Protamine sulphate Injection 10mg/ml in 5 ml Amp. 750.00
Sodium calcium edetate Injection 200mg/ml in 5 ml Amp. 500.00
Sodium nitrite Injection 30mg/ml in 10 ml vial Vial 330.00
Sodium thiosulphate Injection 500mg/ml Amp #

4.2. NON-SPECIFIC ANTIDOTES

Activated charcoal Tablet Tablet Tab. 40.00
Activated charcoal Granule, Powder for 5g/satchet, powder 25 g, 50 g pack, for 700.00

5. ANTI-CONVULSANTS (ANTI-EPILEPTICS)
Carbamazepine Tablet 200mg Tab. 10.00
Carbamazepine Tablet 400mg SR Tab. 60.00
Carbamazepine Syrup 100mg/5ml 100ml 1,500.00
Diazepam Injection 5mg/ml in 2ml Ampoule Amp. 150.00
Ethosuximide Caps/tablets 250 mg Caps. 55.00
Ethosuximide Syrup 250mg/5ml 100mls #
Magnesium sulphate Injection 50% (500 mg/ml) in 2 ml Amp. 400.00
NHIS, 2015
 6

Paraldehyde Injection 10ml, 5 mls Amp. 200.00

Phenobarbital Tablets 15mg, Tab. 5.00
Phenobarbital Tablets 30mg, 60mg Tab 10.00
Phenobarbital Elixir, Syrup 15mg/5ml 60mls 250.00
Phenobarbital Injection 200mg/ml Amp. 150.00
Phenytoin Sodium Capsule 100mg, 50 mg, 25, mg Caps 30.00
Sodium valproate Tablets 200mg Tab. 60.00
Sodium valproate Tablets 500mg SR Tab 140.00
Sodium valproate Elixir/syrup 200mg/5ml 200mls 3,500.00

6. ANTI-INFECTIVE DRUGS

6.1. AMOEBICIDES/ANTIFLAGELLATE
Metronidazole Tablets 200mg Tab. 5.00
Metronidazole Tablet 400mg Tab. 6.00
Metronidazole Suspension 200mg/5ml 60mls 100.00
Metronidazole IV Injection 500mg in 100ml bottle 100mls 100.00
Metronidazole Suppository 500mg supp/ovule 100.00
Secnidazole 4 Tablets (single dose) 500mg 4 tabs 360.00
Tinidazole 4 Tablets (Single dose) 500mg 4 tabs 100.00

6.2. ANTHELMINTICS
Albendazole Tablet 200mg 2 tabs 150.00
Albendazole Suspension Oral 100mg/5ml 30mls 180.00
Levamisole Tablet 40mg Tab. 20.00
Levamisole Suspension 40mg/5ml 30mls 150.00
Mebendazole Tablet 100mg, 6`s 350.00
Mebendazole Tablet 500 mg x1 350.00
Mebendazole Suspension 100mg/5ml 30mls 900.00
Pyrantel Pamoate Tablet 125mg (pamoate) 6`s 250.00
Pyrantel Pamoate Syrup 125mg/5ml 15mls 250.00

6.3. ANTISCHISTOSOMAL DRUGS

Praziquantel Tablet 600mg Tab. 60.00

6.4. ANTIFILARIAL DRUGS

Ivermectin Tablet 6mg Tab. 5.00

6.5. ANTI-MALARIAL DRUGS

NHIS, 2015
 7

a-B–Artemether Injection Ampoules 150mg/2ml Amp x 3s 1,350.00

Artemeter Injection (Phosphate) 80mg/ml Amp. 200.00
Artemeter Injection (Phosphate) 40mg/ml in 1ml Ampoule Amp. 150.00
Artemeter + Lumefantrine Tablet 20mg/120mg Tab x 12s 600.00
Artemeter + Lumefantrine Tablet 80mg/480mg Tab x 6s 500.00
Artemeter + Lumefantrine Paediatric Dispersible Tabet 10mg/60mg Tab x 24s 600.00
Artemeter + Lumefantrine Suspension 180mg/1080mg 60mls 600.00
Artemeter + Lumefantrine Suppossitory 20mg/120mg x 6s 600.00
Artesunate Tablet 50mg/tab Tablet 40.00
Artesunate Syrup 80mg/5ml 100ml 600.00
Atersunate + Sulfadoxine+ Pyrimethamine Tablet (Adult) 200mg/500mg/25mg Tab.x3s 600.00
Atersunate + Sulfadoxine+ Pyrimethamine (Paed) 100mg/250mg/12.5mg Tab.x3s 400.00
Atersunate + Amodiaquine Tablet 50mg/200mg Tab x 12s 600.00
Atersunate + Amodiaquine “ DS 200mg/600mg 6’s 600.00
Atersunate + Amodiaquine Paediatric Powder 25mg/75mg Sachet x 6s 300.00
Atersunate + Mefloquine Tablet (Adult) 200mg/250mg Tab x 6s 1,000.00
Atersunate + Mefloquine (Paed) 100mg/125mg Tab x 6s 350.00
Chloroquine (restricted) Tablet, Capsule 300 mg, Tab/ Caps. 10.00
Chloroquine (restricted) Injection 200mg/5ml, Ampoules 30.00
Chloroquine (restricted) Syrup 75mg/5ml, 60 ml 120.00
Dihydroartemisinin Tablet 60mg/Tablet 8s 640.00
Dihydroartemisinin Suspension 160mg/80mls 80mls 600.00
Dihydroartemisinin + Piperaquine phosphate Tab 40mg/320mg Tabx8s 650.00
Dihydroartemisinin + Piperaquine phosphate “ 30mg/225mg Tabx8s 550.00
Dihydroartemisinin + Piperaquine phosphate “ DS 62.5mg/375mg Tabx8s 600.00
Dihydroartemisinin + Piperaquine phosphate Suspension 80/640mg 80mls Bottle 600.00
Proguanil Tablet 100mg (HC1) Tab. 10.00
Pyrimethamine + Sulphadoxine Tablet 25mg Pyrimethamine +500mg Sulphadoxine 3’s 150.00
Pyrimethamine Tablet 25mg Pyrimethamine Tab 10.00
Quinine Tablet 300mg Tab 45.00
Quinine Injection 300mg (dihydrochloride)/ml in 2ml amp Amp. 100.00
Quinine Syrup 100ml 450.00

6.6 ANTITRYPANOSOMAL, ANTILEISHMANIASIS DRUGS

Meglumine antimonate Injection, 30% equiv to 8.5% of total antimony in 5ml amp Amp #
Meglumine antimonate Injection, 300mg (isethionate)/ vial Amp #
Melarsoprol Injection 3.6% solution in propylene glycol Vial #
Pentamidine Injection, powder 10% of total antimony Vial #
Sodium stibogluconate Injection 1gm/vial Amp, #

NHIS, 2015
 8

Suramin Injection, powder Vial #

6. 7 ANTIBACTERIAL DRUGS
Amoxycillin Capsule 250mg Caps. 10.00
Amoxycillin Capsule 500 mg Caps. 15.00
Amoxycillin Powder for oral suspension 125mg/5ml 100mls 200.00
Amoxycillin Injection 500mg in vials Vial 150.00
250 mg amoxycillin (Trihydrate) +125 mg clavulanic Acid
Amoxycillin plus Clavulanic Acid (Co-amoxiclav) Tablet, Capsules Tab. 60.00
(Potassium Salt)
500mg amoxycillin (Trihydrate) + 125mg clvulanic
Amoxycillin plus Clavulanic Acid (Co-amoxiclav) Tablet, Capsules Tab. 100.00
acid(potassium salt)
200 mg Amoxycillin (trihydrate) + 28 mg Clavulanic acid
Amoxycillin plus Clavulanic Acid (Co-amoxiclav) Powder for oral suspension 100mls 1,150.00
(Potassium salt)/5 ml
400 mg Amoxycillin (trihydrate) + 57 mg Clavulanic acid
Amoxycillin plus Clavulanic Acid (Co-amoxiclav) Powder for oral suspension 100mls 1,500.00
(Potassium salt)/5 ml
500 mg Amoxycillin (Sodium salt) + 100 mg Clavulanic
Amoxycillin plus Clavulanic Acid (Co-amoxiclav) Injection Vial 450.00
acid (Potassium salt) in vial
1g Amoxycillin (Sodium salt) + 200 mg Clavulanic acid
Amoxycillin plus Clavulanic Acid (Co-amoxiclav) Injection Vial 700.00
(Potassium salt) in vial
Ampicillin + Cloxacillin Capsule 250mg of each constituent Caps. 10.00
Ampicillin + Cloxacillin Powder for oral suspension 125mg of each/5ml 100mls 200.00
Ampicillin + Cloxacillin Neonatal Drops Ampicillin 60mg + Cloxacillin 30mg/0.6mls 8mls 200.00
Ampicillin + Cloxacillin Neonatal injection Ampicillin 50mg + cloxacillin 25 mg Amp. 150.00
Ampicillin 250mg+Cloxacillin 250mg per vial (sodium salt
Ampicillin + Cloxacillin Injection Amp. 120.00
of each)
Azithromycin Capsules 250mg Caps. 150.00
Azithromycin Capsules 500mg Caps. 350.00
Azithromycin Suspension 200mg/ 5ml 30mls 1,000.00
Benzathine- Benzylepenicillin Injections 2.4 M.U. of benzylpenicillin Vial 400.00
Benzylepenicillin Injection, powder 1.0 MU Vial Vial 50.00
Benzylepenicillin Injection, powder 5 MU Vial Vial 100.00
Cefixime Tablet 400mg Tab 150.00
Cefixime Tablet 200mg Tab 100.00
Cefixime Suspension 100mg/5ml 100ml 750.00
Cefotaxime Injection 500mg Vial 300.00
Ceftazidime Injection 1gm Vial 800.00
Ceftriaxone Injection 250mg, Vial 500.00
Ceftriaxone Injection 500mg I.M. Vial 500.00
Ceftriaxone Injection 1g IV Vial 700.00
Cefuroxime Tablets (axetil) 250mg, Tab. 100.00
Cefuroxime Tablets (axetil) 500 mg Tab. 160.00

NHIS, 2015
 9

Cefuroxime Suspension (axetil) 125mg/5ml 100mls 1,200.00

Cefuroxime Injection (sodium salt) 750mg Vial 500.00
Cefuroxime Injection (sodium salt) 250 mg Vial 400.00
Cephalexin Capsules/Tablet 500mg Caps/Tab 35.00
Cephalexin Suspension 125mg/5ml 100mls 480.00
Cephalexin Suspension 250mg/5ml 100mls 650.00
Chloramphenicol (restricted) Capsule 250mg Caps. 5.00
Chloramphenicol (restricted) Suspension, Oral 125mg/5ml (Palmitate) 100mls 200.00
Chloramphenicol (restricted) Injection 1g (sodium succinate) in vial Vial 100.00
Ciprofloxacin Tablet 250mg (HC1) Tab. 40.00
Ciprofloxacin Tablet 500 mg (Hcl) Tab. 40.00
Ciprofloxacin Injection I.V. 2mg/ml (lactate) in 50 and 100ml vials Vial 100.00
Clarithromycin Tablet 250mg Tab. 100.00
Clarithromycin Tablet 500mg Tab. 120.00
Clarithromycin Suspension 125mg 100ml 880.00
Clindamycin Capsule HCL 150mg Cap 120.00
Clindamycin Injection Phosphate 150mg/ml Amp 180.00
Cloxacillin Injection, powder 250mg, Vial 50.00
Cloxacillin Injection, powder 500 mg in vial Vial 70.00
Cloxacillin Capsule 250mg Caps. 20.00
Cloxacillin Suspension, oral, 125mg/5mls 100mls 180.00
Co-trimoxazole Tablet 400mg Sulphamethoxazole +80mg Trimethoprim Tab. 5.00
Co-trimoxazole Tablet 800mg Sulphamethoxazole +160mg Trimethoprim Tab.(DS) 10.00
Co-trimoxazole Suspension Sulphamethoxazole 200 mg +40mg Trimethoprim /5ml. 60mls 150.00
Doxycycline Capsule 100mg Caps. 10.00
Erythromycin Tablets, capsules, enteric, film coated 250mg stearate or ethylsuccinate) Tab. 15.00

Erythromycin Tablets, capsules, enteric, film coated 500mg (stearate or ethylsuccinate) Tab. 30.00
Erythromycin Suspension oral 125mg/5ml (stearate or Ethylsuccinate) 60mls 400.00
Gentamycin Injection 80mg/mls, 40 mg/2mls (Sulphate) Amp. 20.00
Gentamycin Injection 20mg/2ml Amp. 20.00
Levofloxacin Tablet 250mg Tab. 60.00
Levofloxacin Tablet 500mg Tab. 80.00
Levofloxacin Injection 500mg/100mls Infusion 100mls 500.00
Lincomycin Capsules 500 mg Caps. 30.00
Lincomycin Suspension 250mg/5ml 100mls 1,150.00
Lincomycin injection (Phosphate) 150 mg/ml in 2 ml Amp. 150.00
Metronidazole Tablets 200mg Tab. 5.00

NHIS, 2015
 10

Metronidazole Tablet 400mg Tab. 6.00

Metronidazole Suspension 200mg/5ml 60mls 100.00
Metronidazole IV Injection 500mg in 100ml bottle 100mls 100.00
Nitrofurantoin Tablet 50mg Tab. 10.00
Nitrofurantoin 100mg Tab. 10.00
Ofloxacin Tablet 200mg Tab. 50.00
Ofloxacin Injection 200mg/100ml Infusion 100mls 300.00
Pefloxacin Tablet 400mg Tab. 80.00
Phenoxymethyl- Penicillin Tablet 250mg Tab. 15.00
Phenoxymethyl- Penicillin Suspension 250mg/5ml 100mls 200.00
Rifampicin Capsules 150mg, 300mg Caps. 15.00
Secnidazole 4 Tablets (single dose) See section 6.1 360.00
Sparfloxacin Tablet 200mg Tab. 70.00
Tetracycline Capsule 250mg (Hydrochloride) Caps. 5.00
Tinidazole 4 Tablets (Single dose) See section 6.1 100.00

6.8. ANTILEPROSY DRUGS

Clofazimine Capsules 50 mg, 100 mg Caps. 15.00
Dapsone Tablets 50mg, 100 mg Tab. 5.00
Rifampicin Capsules 300 mg Caps. 15.00
Rifampicin Capsules 150 mg 15.00

6.9. SYSTEMIC ANTIFUNGAL DRUGS

Amphotericin B Injection, powder 50 mg/vial Vial 3,465.00
Fluconazole Capsule 50 mg Caps. 60.00
Fluconazole Capsule 150 mg Caps. 450.00
Fluconazole Suspension 50mg/5ml 35mls 900.00
Fluconazole Injection I.V. 2 mg/ml in 0.9 % sodium chloride Vial 500.00
Griseofulvin Tablet 500mg Tab. 20.00
Griseofulvin Suspension 125mg/ 5ml 100mls 450.00
Itraconazole Capsules 100mg Cap. 150.00
Itraconazole Suspension 10mg/ml Suspension 340.00
Ketoconazole Tablet 200mg Tab. 30.00
Miconazole Tablet 250 mg Tab. 500.00
Nystatin Tablet 500,000 units, Tab. 40.00
Nystatin Suspension 100,000 units/ml 30mls 500.00
Nystatin lozenges 100,000 units/ml Tab. 20.00
Nystatin Pessary 100,000 units Tab. 20.00
Terbinafine Tablet 250mg Tab. 150.00

NHIS, 2015
 11

6.10. ANTIVIRAL DRUGS

Aciclovir Tablets 200mg Tab. 50.00
Aciclovir Tablets 400 mg Tab. 75.00
Aciclovir Suspension 200 mg/5 ml 125mls 620.00
Aciclovir Cream 5% Tube 600.00
Aciclovir Injection IV Sodium salt 250mg/vial Vial 200.00
Lamivudine Tablet 150 mg Tab 50.00
Lamivudine * Solution 50mg/5ml 240 mls

6.11. ANTI RETROVIRAL (ARV) DRUGS (EXCLUSION LIST)

1. Protease inhibitors
Indinavir (IDV) * Capsule (Sulphate) 200 mg, 333mg, 400 mg
Nelfinavir (NFV) * Tablet 250 mg
Ritonavir (RTV) * Oral liqiud 400mg/5ml bottle
Saquinavir (SQV) * Capsule 100mg Capsule
Saquinavir (SQV) * Capsule 200mg
Lopinavir + ritonavir LPV/r) * Capsule 133.3mg+33.3mg Capsule
Lopinavir + ritonavir LPV/r) * Tablet 100mg/25mg Tab
Lopinavir + ritonavir LPV/r) * Tablet 200mg/50mg “
Lopinavir + ritonavir LPV/r) * Oral liquid 400mg/100mg/ 5ml Bottle
2. Nucleoside Reverse Transcriptase Inhibitors
Lamivudine (3TC) * Tablet 150 mg
Lamivudine (3TC) * Solution 5mg/ml
Zidovudine (ZDV) * Capsules 100 mg,
Zidovudine (ZDV) * Capsules 250 mg
Zidovudine (ZDV) * Syrup 50 mg/5ml
Abacavir (ABC) * Tablet (sulfate) 300mg
Abacavir (ABC) * Liquid “ 100mg/5ml
Stavudine (d4T) * Tablet 40mg Tab
Zalcitabine (ddC) * Tablet 750ug Tab
Didanosine (ddI) * Capsule 125mg Cap
Didanosine (ddI) * Capsule 200mg, 250mg “
Didanosine (ddI) * Capsule 400mg “
Didanosine (ddI) * Tablet 25mg, 50mg Tab
Didanosine (ddI) * Tablet 100mg, 150mg “
Didanosine (ddI) * Tablet 200mg “
Didanosine (ddI) * Powder for oral dosage 100mg,167mg Packets
Didanosine (ddI) * Powder for oral dosage 200mg Packets

NHIS, 2015
 12

3. Non-nucleoside Reverse Transcriptase Inhibitors

Nevirapine (NVP) * Tablet 200 mg
Nevirapine (NVP) * Syrup 50 mg/5ml
Efavirenz (EFV or EFZ) * Tablet 600mg Tab
Efavirenz (EFV or EFZ) * Capsules 50mg Caps
Efavirenz (EFV or EFZ) * Capsules 100mg, 200mg “
Efavirenz (EFV or EFZ) * Oral liquid 150mg/5ml Bottle
4. Fixed dose combinations
Lamivudine + nevirapine + stavudine * Tablet 150mg+200mg+30mg Tab x60s
Lamivudine + nevirapine + stavudine * Tablet 150mg+200mg+30mg Tab x60s
Lamivudine + nevirapine + stavudine * Tablet(Dispersible 30mg+50mg+6mg Tab x60s
Lamivudine + nevirapine + stavudine * Tablet(Dispersible 60mg+100mg+12mg
Lamivudine + nevirapine + Zidovudine * Tablet 30mg+50mg+60mg/ Tab x 60s
Lamivudine + nevirapine + Zidovudine * Tablet 150mg+200mg+300mg
Lamivudine + Zidovudine * Tablet 30mg + 60mg Tab x 60s
Lamivudine + Zidovudine * Tablet 150mg + 300mg

7. ANTI-MIGRAINE DRUGS
Ergotamine Tablet Tartrate, 2g Tab 50.00
Ergotamine Tartrate + Caffeine Tablet 1mg / 100mg Tablet 60.00
Pizotifen Tablets 0.5mg, 1.5 mg Tablet 35.00
Pizotifen Elixir 0.25 mg/ml 100mls 2,000.00
Propranolol Tablet 40mg/ Tab 9.00

8. IMMUNO SUPPRESIVE DRUGS

Azathioprine (Restricted) Tablet 50 mg Tablet #
Azathioprine (Restricted) Injection, powder 50 mg/vial Vial #
Dexamethasone Tablet 0.5 mg, 4 mg Tab. 10.00
Dexamethasone Injection Sodium PO4, 4 mg/ml Amp. 20.00
Methotrexate (restricted) Tablet 2.5 mg Tab 40.00
Methotrexate (restricted) Injection 50 mg/vial sodium salt Vial 500.00
Prednisolone Tablet 5 mg Tab 5.00

9. DRUGS FOR PARKINONSIM AND OTHER NEUROLOGICAL DISORDERS

9.1 ANTIPARKINSONISM DRUGS

Benzhexol Tablets 2mg Tab. 5.00
Benzhexol Tablets 5 mg (as HCl) Tab. 5.00
Biperiden Tablet 2mg (as HCL) Tab. 3.00

NHIS, 2015
 13

Biperiden Injection 5mg/ml (as lactate) in 1ml ampoule Amp. 40.00

Levodopa + Carbidopa Tablet Levodopa250mg + Carbidopa 25mg, Tab. 80.00
Levodopa + Carbidopa Tablet Levodopa100 mg + Carbidopa 10 mg Tab. 70.00

9.2 DRUGS FOR MYASTHENIA GRAVIS

Neostigmine Injection (Bromide) 15mg/ml Inj 250.00
Neostigmine Tablet 15mg (Bromide) Tab. 140.00
Pyridostigmine Tablet 60 mg (Bromide) Tab. 150.00

9.3 DRUGS FOR SUBARACHOID HAEMORRHAGE

Amino caporic acid (AA) plus lipid thromboplastin
Injection 100 mg AA + 2 mg/ml LT in 5 ml #
(LT)

10. ANTISEPTICS AND DISINFECTANTS

Chlorhexidine Solution 5% (Gluconate) for dilution 500mls 500.00
Chlorhexidine + Cetrimide Solution Cetrimide 15% + 1.5% chlorhexidine gluconate for dilution 500mls 400.00
Chloroxylenol Solution 5% for dilution 250mls 400.00
Chloroxylenol Solution 5% for dilution 125mls 400.00
Coal tar Solution 5% Solution 200.00
Compound Tincture of Benzoin (TBC) Liquid 2% 100mls 200.00
Dichloroxylenol + Chlorophenol Soap solution 125mls 200.00
Iodine Solution Different Preparations 1% 30mls 100.00
Methylated spirit Solution Alcohol vol/vol 200mls 100.00
Potassium Permanganate Solution 0.10% 15mls 100.00
Povidone – iodine Solution 10% Solution 200.00
Sodium hypochlorite Solution 1-10% (chlorine in different preparations) 500mls 150.00
Trichlorophenol Cream, Liquid, ointment Mixture of halogenated phenols and Salicylic acid - 570.00

11. DRUGS AFFECTING THE BLOOD

11.1 ANTI-ANEAMIC DRUGS

Cyanocobalamin/ Hydroxocobalamin Tablet 0.05mg Tab. 5.00
0.25 and 1mg/ml (injection, Hydroxocobalamin
Cyanocobalamin/ Hydroxocobalamin Injection Amp. 100.00
preferred)
Ferric Ammonium Citrate Mixture 400mg/5ml of Ferric Ammonium citrate 200mls 250.00
Ferrous Sulphate Tablets, Capsule 200 mg equivalent to 60mg of Iron Tab 3.00
Folic Acid Tablet 5mg Tab. 3.00
Iron dextran Injection Equiv to 50mg/iron/ml in 2ml amp Amp. 200.00

NHIS, 2015
 14

Erythropoeitin Injection 4000 I.U (prefilled syringe) 4,000.00

11.2. ANTICOAGULANTS

Enoxaparin Injection 100 mg/ml in 0.4ml (40mg) prefilled Syringe 1,200.00

Enoxaparin Injection 100 mg/ml in 0.2ml (20mg) prefilled Syringe 850.00

Heparin Sodium Injection 5000 units/ml in Ampoule Amp. 620.00
Heparin Sodium Injection 25,000 units/ml in Ampoule Amp. 1,200.00
Warfarin Sodium Tablets (as sodium) 3mg, Tab. 30.00
Warfarin Sodium Tablets (as sodium) 5mg Tab. 30.00

11.3 ANTI PLATELETS

Acetylsalicylic acid Tablet 75 mg Tab 3.00
Clopidogrel Tablet 75mg Tab. 60.00
Dipyridamole Tablet 100mg Tab. #

11.4 ANTI FIBRINOLYTIC AND HAEMOSTATIC DRUGS

Aminocaproic acid Tablet 500 mg Tab. #
Aminocaproic acid (With/without – lipid
Injection AA 100 mg/ml + TPT 2mg/ml in 5 ml, 10 ml Amp. #
thromboplastin

11.5 PLASMA SUBSTITUTES

6% in 5% glucose or normal saline solution (in bottles of
Dextran 70 Injection I.V. 500ml 1,000.00
500ml)
Human Albumin (Plasma Protein fraction) Injection 20% in 100ml vials Vial 9,765.00
Polygeline Injection IV 3.5% solution in 500 mls 500ml 3,500.00

12. CARDIOVASCULAR DRUGS

12.1. ANTI ANGINAL DRUGS

Atenolol Tablet 25mg Tab 8.00
Atenolol Tablet 50mg Tab 10.00
Atenolol Tablet 100mg Tab 12.00
Atenolol Injection 0.5mg/ml Amp. 90.00
Glyceryl Trinitrate Tablet Sublingual, 0.5mg Tab. 30.00
Isosorbide dinitrate Tablet OralSublingual 5 mg Tab. 60.00
Isosorbide dinitrate Tablet 10mg Tab 70.00
Propranolol Tablet 40 mg Tab. 10.00

NHIS, 2015
 15

Propranolol Injection 1mg/ml in Ampoule Amp. 300.00

12.2. ANTI-ARRHYTHMIC DRUGS

Amiodarone Tab 200mg Tab. 55.00
Lidocaine injection 20mg/ml (HCL) in 5ml Ampoule 50ml Vial 400.00
Procainamide Tab 250mg (HCL) Tab. 30.00
Disopyramide Tab 100 mg, 150 mg Tab. 150.00
Procainamide Injection 100mg in 10mls ampoule Amp. 150.00
Propranolol Tab 40mg (Hydrochloride) Tab. 10.00
Propranolol INJECTION 1mg/ml in Ampoule Amp. 300.00

12.3. DIURETICS
Amiloride+Hydrochlorothiazide Tablet 5mg+ 50mg Tab 7.50
Bendrofluazide Tablet 5mg Tab. 5.00
Furosemide Tablet 40mg Tab. 5.00
Furosemide Injection 10mgmi in 2ml ampoule Amp. 140.00
Hydrochlorothiazide Tablet 25mg Tab. 5.00
Hydrochlorothiazide Tablet 50mg Tab. 8.00
Spironolactone Tablet 25mg Tab. 15.00
Spironolactone Tablet 50mg Tab. 20.00
Spironolactone Tablet 100mg Tab 30.00

12.4 ANTIHYPERTENSIVES DRUGS

Amiloride + hydrochlorothiazide Tablet 0.5mg/25mg Tab. 40.00
Amlodipine Tablet (Besylate) 5mg Tab. 30.00
Amlodipine Tablet (Besylate) 10mg Tab. 60.00
Amlodipine + Valsartan + Hydrochlorothiazide Tablet 5 mg + 160mg + 12.5mg Tab 260.00
Amlodipine + Valsartan Tablet 5 mg + 160mg Tab 250.00
Atenolol Tablet 25mg Tab. 8.00
Atenolol Tablet 50 mg Tab. 10.00
Atenolol Tablet 100mg Tab. 12.00
Candesartan cilexetil Tab 8mg 200
Candesartan cilexetil Tab 16mg 250
Candesartan cilexetil/hydrochlothiazide Tab 16/12.5mg 260
Captopril Tablet 12.5 mg, Tab. 15.00
Captopril Tablet 25 mg Tab. 15.00
Captopril Tablet 50mg Tab 25.00
Enalapril Tablet 5mg Tab. 25.00
Enalapril Tablet 10mg Tab. 30.00

NHIS, 2015
 16

Felodipine Tablet 5mg Tab. 80.00

Felodipine Tablet 10mg Tab. 100.00
Hydralazine Tablet 25mg, Tab. 20.00
Hydralazine Tablet 50mg Tab 30.00
Hydralazine Injection powder 20mg in 1ml Ampoule Amp. 300.00
Isradipine Tablet 2.5mg Tab. #
Isradipine Tablet 5mg Tab. #
Labetalol Tablet (HCL) 100mg, 200mg Tab. 30.00
Labetalol Injection powder Tablet (HCL) 5mg/ml in 20ml Ampoule Amp. 1,400.00
Lacidipine Tablet 2mg Tab. #
Lisinopril Tablet 2.5mg Tab. 70.00
Lisinopril Tablet 5mg Tab. 20.00
Lisinopril Tablet 10mg Tab. 25.00
Lisinopril + hydrochlorothiazide Tablet 20mg/12.5mg Tab. 150.00
Methyldopa Tablet 250mg, Tab. 15.00
Methyldopa Tablet 500mg Tab. 20.00
Nifedipine Tablet, 20mg Tab. 15.00
Nifedipine slow release 30mg Tab. 35.00
Prazosin Tablet 1mg Tab. 20.00
Prazosin Tablet 2mg Tab. 25.00
Prazosin + Polythiazide Tablet 0.5mg + 0.25mg (respectively) Tab. 40.00
Propranolol (Hydrochloride) Tablet 40mg Tab 10.00
Reserpine 0.1mg + Dihydroergocristine 0.5mg +
Resperpine + Dihydroergocristine + Clopamide Tablet Tab. 40.00
Clopamide 5.0mg
Resperpine + Dihydroergocristine
Tablet Resperpine 0.1mg+ Dihydroergocristine 0.6mg+ Tab. 40.00
+Hydrochlorothiazide
Resperpine + Dihydroergocristine
Tablet Hydrochlorothiazide 10mg Tab. 40.00
+Hydrochlorothiazide
Telmisartan Tablet Telmisartan 40mg Tab 130.00
Telmisartan Tablet Telmisartan 80mg Tab 135.00
Telmisartan + Hydrochlorthiazide Tablet Telmisartan 40mg/HCTZ 12.5mg Tab 130.00
Telmisartan + Hydrochlorthiazide Tablet Telmisartan 80mg/HCTZ 12.5mg Tab 135.00
Valsatan Tab 80mg Tab 170
Valsatan Tab 160mg Tab 190
Valsatan /Hydrochlothiazide Tab 80/12.5mg Tab 170
Valsatan /Hydrochlothiazide Tab 160/12.5mg Tab 200
Valsatan /Hydrochlothiazide Tab 160/25mg Tab 235

12.5 CARDIAC GLYCOSIDE AND CARDIOTONICS

Captopril Tablet 12.5 mg, 25 mg Tab. 15.00

NHIS, 2015
 17

Digoxin Tablets 0.0625mg, 0.125mg, 0.25mg Tab. 6.00

0.25mg/ml in 2ml Ampoule, and 0.1mg/ml in 1ml
Digoxin Injection Amp. 150.00
Ampoule
Digoxin Syrup 50mg/ml 100mls 280.00
Dopamine Injection 40mg/ml in 5mls Vial 400.00

12.6 LIPID – REGULATING DRUGS

Artovastatin Tab/Caps 10mg Tab/ Cap. 50.00
Artovastatin Tab/Caps 20mg Tab/ Cap. 200.00
Clofibrate Tab/Caps 20mg Tab/ Cap. 30.00
Fluvastatin Tab/Caps 40mg Tab/ Cap. 50.00
Fluvastatin Tab/Caps 20mg Tab/ Cap. 190.00
Rosuvastatin Tab/Caps 40mg Tab/ Cap. 250.00
Rosuvastatin Tab/Caps 5mg Tab/ Cap. 190.00
Rosuvastatin Tab/Caps 10mg Tab/ Cap. 200.00
Rosuvastatin Tab/Caps 20mg Tab/ Cap. 160.00
Simvastatin Tab/Caps 40mg Tab/ Cap. 250.00
Simvastatin Tab/Caps 500mg Tab/ Cap. 550.00

13. DENTAL DRUGS

13.1 LOCAL ANAESTHETICS

Benzocaine Lozenges 10mg Tab. 40.00
Lidocaine Injections 2% + epinephrine 1 in 80,000 in dental catridge Catridge 400.00
Lidocaine Spray Tin 2,000.00
Prilocaine Injection 3% with Felypressin 0.03 units/mls Amp. 300.00

13.2. MOUTHWASHES
Chorhexetidine Solution 0.10% 100mls 500.00
Glycerin thymol Solution 200mls 360.00
Hexetidine Solution 0.10% 100mls 500.00
Nystatin Solution 100,000 unit/ml 30mls 500.00
Zinc Chloride Plus Zinc sulphate Solution 1% Zncl + 2% Zn2 SO4 Solution 240.00

13.3 ANTI INFLAMMATORY DENTAL DRUGS

Triamcinolone Paste (accetonide) 0.10% Tube 700.00
14. DERMATOLOGICAL DRUGS
14.1. ANTI-INFECTIVE DRUGS
Aciclovir Cream 5% Tube 450.00
Framycetin gauze dressing 1% Gauze 200.00
NHIS, 2015
 18

Gentamicin Ointment 0.30% Tube 150.00

Gentian Violet Aqueous Solution 0.50% 60mls 80.00
Gentian Violet Tincture 60mls 80.00
Mupiricon Ointment 2% w/w Tube 1,000.00
Containing: Neomycin Sulphate 5mg plus Bacitracin
Neomycin-Bacitracin Ointment and Cream Tube 150.00
zinc 500 units/g in 5g & 30g tubes
Containing: Neomycin Sulphate 5mg plus Bacitracin
Neomycin-Bacitracin Powder Tin 200.00
zinc 250 units/g
Containing: Bacitracin, 12,500 units & Neomycin
Neomycin-Bacitracin Spray Bottle 850.00
Sulphate, 165,000 units
Silver Sulphadiazine Cream 1% Tube 400.00

14.2. ANTI-INFLAMATORY & ANTI-PRURITIC DRUGS

Betamethasone Cream 0.1% (Valerate) Tube 250.00
Betamethasone + Clioquinol Cream 0.1% + 0.3% Tube 300.00
Betamethasone +Neomycin Cream 0.1% + 0.5% Tube 300.00
Calamine Lotion Lotion 120mls 200.00
Clobetasol propionate Cream 0.05% Tube 850.00
Clobetasone Cream 0.05% Tube 500.00
Fluocinolone Cream 0.03% Tube 900.00
Fluocinolone Cream 0.025% +3% clioquinol Tube 900.00
Hydrocortisone Cream 1% Tube 300.00
Hydrocortisone (Plus) Neomycin Cream 0.5 – 1% hydrocortisone + 0.25 – 0.5% Neomycin Tube 300.00
Methyl Salicylate Oitment 4 – 20% methyl salicylate) Tube 250.00

14.3 ASTRINGENT DRUGS

Aluminium diacetate Solution 13% for dilution #
Calamine + Zinc oxide Lotion, plaster 200.00

14.4. ANTI-ACNE DRUGS

Benzoyl Peroxide Cream 10%, 5%, 2.5% Tube 900.00
Benzoyl Peroxide Gel 10%, 5%, 2.5% Tube 900.00

14.5 SCABICIDES AND PEDICULICIDES

Benzyl Benzoate Emulsion and lotion 25% 100mls 220.00
Crotamiton Cream 10% Tube 660.00
Crotamiton Lotion 10% 50mls 550.00
Monosulfiram Soap 5% Soap 150.00
Permethrine Cream, Lotion 5%, 1% respectively lotion 100.00

NHIS, 2015
 19

14.6 FUNGICIDES WITH ANTIBACTERIAL/ANTI-INFLAMMATORY AGENTS

Clotrimazole Cream 1% Tube 200.00
Clotrimazole Aerosol, spray 1% Tin 250.00
Clotrimazole Dusting Powder 1% Tin 200.00
Clotrimazole Pesssary 6's 350.00
Clotrimazole Vaginal Cream Tube 500.00
Ketoconazole Cream 2% Tube 550.00
Miconazole Oral Gel 2 – 2.5% Tube 1,000.00
Miconazole Cream 2% Tube 400.00
Miconazole Lotion 2% Tin 500.00
Miconazole Ovule Ovules 700.00
Miconazole Pessary Pessaries 500.00
Miconazole + Hydrocortisone Cream 2% + 1% Tube 1,200.00
Nystatin Cream/Oint 100,000 units Tube 500.00
Sulphur + Mesulphen Ointment Sulphur 10-20% + Mesulphen 64% Tube 250.00
Tioconazole Cream 1% Tube 400.00
Tioconazole ovule 3s Tube 600.00

14.7 KERATOLYTIC/ PSORIASIS DRUGS

Benzoic acid + salicylic acid Cream ointment 6% + 3% Tube 200.00
Coal Tar Solution/Cream 1-10% 1,000.00
Dithranol Ointment 0.1 - 2% Tube 1,000.00
Podophyllum resin Topical solution 10- 25% 1,500.00
Salicylic acid Topical solution, 12% in flexible collodion Tube 150.00
Salicylic acid Ointment 2-5% 180.00
Urea Cream/ointment 10% Tube #

15. EAR, NOSE & THROAT DRUGS

15.1 EAR DRUGS

15.1.1 Anti-infective Drugs

Chloramphenicol Ear Drops 5% 10mls 150.00
Gentamicin Eye/Ear Drops 0.3% (Sulphate) 10mls 150.00

15.1.2 Anti-inflammatory Drugs

Betamethasone 250.00

15.1.3 Combined Anti-infective & Anti-inflammatory Drugs

NHIS, 2015
 20

Hydrocortisone 1.5% (Acetate) + Neomycin 0.5%

Hydrocortisone + Neomycin Ear Drops 5mls 360.00
(Sulphate)
Bethamethasone + Neomycin Ear drops 0.1% + 0.5% 10mls 250.00
Dexamethasone + Neomycin Ear drops 0.1% + 3200 unit/ml 10mls 350.00
Flumethasone plus clioquinol Ear drops 0.02% + 1% clioquinol 7.5mls 700.00
Hydrocortisone 1.0% (Acetate) + Neomycin 3400 units
Hydrocortisone + Neomycin + polymyxin B Ear Drops 10mls 500.00
(Sulphate) + polymyxin B 10,000 units/10mls

15.1.4 Preparations for Removal of Ear wax

Glycerol plus sodium bicarbonate Ear drops 10mls 650.00
Chlorbutanol +Paradichlorobenzine+ Arachis oil +
Ear drops 10mls 800.00
Turpentine oil

15.2 NOSE DRUGS

15.2.1 Anti allergic & Nasal Decongestants (Topical & Systemic)

Antazoline + Nephazoline Nasal drops 0.5% + 0.025% 10mls
Beclomethasone Dipropionate Nasal Spray (aerosol) 0.05mg / metered spray Spray 1,500.00
Ephedrine Nasal drops (Hcl) 0.50% 400.00
Pseudoephedrine (HCL) Tablet 60mg Tab 5.00
Pseudoephedrine (HCL) Syrup 30mg/5ml 60mls 300.00
Tripolidine (HCL) + Pseudoephedrine (HCL) Tablet 60mg + 2.5mg Tab. 50.00
Tripolidine (HCL) + Pseudoephedrine (HCL) Syrup 30mg + 1.2mg 60mks 350.00
Xylomethazoline Nasal drops 0.25% 10mls 750.00
Xylomethazoline Nasal drops 0.50% 10mls 750.00
Xylomethazoline + Antazoline Nasal drops 0.25% + 0.5% (paed) 10mls 300.00
Xylomethazoline + Antazoline Nasal drops Adult ‘’ 400.00

15.2.2 CAUTERIZATION OF NOSE

Silver nitrate Sticks, crystals, solution 0.50% Sticks 660.00

15.3 THROAT DRUGS

Dequalinium Lozenges 250mg lozenges 10.00
Dequalinium Paint 250mg (HCL) 10ml 450.00
Dichlrobenzyl alchohol + Amylmetacresol Lozenges Lozenges 40.00

16. GASTRO-INTESTINAL DRUGS

16.1 ANTACID DRUGS

Aluminium hydroxide Suspension 320mg/5ml 200mls 200.00

NHIS, 2015
 21

Aluminium hydroxide Tablet 500mg Tablet 5.00

Aluminium hydroxide +Magnesium Hydroxide
Tablet 200mg+200mg +30mg Tablet 5.00
+Simethicone
Aluminium hydroxide +Magnesium Hydroxide Mixture (with or without
6gm+80mg+100mg+/- 400mg 200ml 400.00
+Simethicone diglycirrhizinnated Liquarice)-
Aluminium hydroxide +Magnesium trisilicate Tablet 120 mg + 250 mg Tab 5.00
Aluminium hydroxide +Magnesium trisilicate Mixture BP 200mls 300.00
Magnesium Trisilicate Tablet 500mg Tab. 5.00
Magnesium Trisilicate Mixtures 250mg/ml 200mls 300.00

16.2 ANTI-EMETIC DRUGS

Metoclopramide Tablet 10mg (HCL) Tab. 7
Metoclopramide Syrup 5mg/5ml (HCL) 100mls 200
Metoclopramide Injection 5mg/ml (HCL) Amp. 30
Prochlorperazine Tablet (Maleate) 5 mg Tab. 5.00
Prochlorperazine Tablet (Maleate) 25 mg Tab. 10.00
Prochlorperazine Syrup (Mesilate) 5 mg/ 5 ml 100mls 350.00
Prochlorperazine Injection (Mesilate) 12.5 mg/ml in 1 ml & 2 ml Ampoules Amp. 70.00
Promethazine Tablet 10 and 25 mg (HCL) Tab. 5
Promethazine Syrup 5mg/5ml (HCL) 60mls 120
Promethazine Injection 25mg/ml (HCL) in 2ml Ampoules Amp. 20
Promethazine theoclate Tablet Tab. 15.00

16.3. ANTI-SPASMODIC DRUGS & SMOOTH MUSCLE STIMULANT

Homatrropine methyl bromide Drop 2mg/ml 15ml 460.00
Hysocine N-butylbro-Mide Tablet 10mg Tab. 10.00
Hysocine N-butylbro-Mide Syrup 1mg/ml 100mls 400.00
Hysocine N-butylbro-Mide Injection 20mg/ml in 1ml Ampoule Amp. 50.00

16.4 PURGATIVES / LAXATIVES AND LUBRICANTS

Bisacodyl Tablet 5mg Tab. 5.00
Bisacodyl Suppositories 5 & 10mg Supp. 130.00
Liquid Paraffin Emulsion, oral 5mg/10ml of emulsion 100mls 220.00
Senna Tablet & granule Tablet 30.00

16.5 ANTI-DIARRHOEAL DRUGS

16.5.1 Antimotility Drugs

Diphenoxylate hydrochloride + Atropine sulphate Tablet 2.5mg + 0.025mg Tablet 10.00

Loperamide Tablet 2mg Tablet 16.50

NHIS, 2015
 22

16.5.2. REPLACEMENT FLUID (ORAL REHYDRATION THERAPY)

Glucose 13.5 g, Potassium Cl. 1.5g, Sodium bicarbonate
Oral Rehydration Salt Salts Sachet 50.00
2.5%, Sodium Chloride 2.6g

16.6 PREPARATIONS FOR HEAMORRHOID

Aluminium Actate +Hydrocortisone+ Lidocaine
Suppository 50mg +5mg + 60mg supp 110.00
+Zinc oxide
Benzyl benzoate + bismuth Oxide + Bismuth
Suppository 33mg + 24mg + 59mg supp 110.00
subgallate+ Hydrocortisone
Benzyl benzoate + bismuth Oxide + Bismuth
Suppository 33mg + 24mg + 59mg supp 110.00
subgallate+ Hydrocortisone + Peru balsam
Cinchocaine hydrochloride +Prednisolone
Suppository 1mg + 1.3mg supp 110.00
hexanoate

16.7 PEPTIC ULCER DRUGS

Cimetidine Tablets 200mg Tab. 10.00
Cimetidine Tablets 400mg Tab. 15.00
Cimetidine Injection 100mg/ml in 2 ml Ampoules Amp. 100.00
Esomeprazole Tablet 20mg Tabl 35.00
Lansoperazole capsule 30mg capsule 40.00
Omeprazole Tablet 10mg, 20 mg 20mgTab. 33.00
Rabeprazole Tablet 20mg Tab 70.00
Ranitidine Tablets 150mg Tab. 16.50
Ranitidine Tablets 300 mg (HCL) Tab. 30.00
Ranitidine Injection 25mg/ml in 2 ml Ampoules Amp. 220.00

17. HORMONES, & SYNTHETIC SUBSTITUTES

17.1 CORTICOSTEROIDS & SYNTHETIC SUBSTITUTES
Dexamethasone Tablets 0.5mg and 4mg Tab. 5.00
Dexamethasone Injection 2mg/ml, 4mg/ml in 2ml Ampoule Amp. 20.00
Fludrocortisone Tablet 0.1mg Tab. 5.00
Hydrocortisone Injection, powder 100mg/vial Vial 150.00
Methyl prednisolone Injection 40mg/ml I 2ml ampule Amp 1,200.00
Predinsolone Tablets 1mg, 5mg Tab 5.00
Triamcinolone Injection 10mg/40mg/ml Amp. 1,000.00

17.2 OESTROGEN
Ethinyloestradiol Tablet 0.01mg, 0.05mg Tab 50.00

17.3. PROGESTOGENS

NHIS, 2015
 23

Hydroxyprogesterone Injection Hexanoate 250mg/ml in 1ml, 2ml Ampoules Amp. 250.00

Norethisterone Injection 200mg/ml Amp. 200.00

17.4. DRUGS ACTING ON PITUITARY- OVARIAN AXIS

Bromocriptine Tablet 1mg, 2.5mg (Mesylate) Tab. 100.00
Clomiphene Tablets 50mg (Citrate) 10s 500.00
Chorionic gonadotropin Injection powder 500 units in Ampoule Amp 4,000.00
Chorionic gonadotropin Injection powder 1000 units in Ampoule Amp 4,000.00
Danazol Capsule 100mg/200mg Cap 300.00
Epimestrol Tablet 5mg Tab #
Follicle-stimulating hormone (FSH)) + luteinizing
Injection powder 75 units +75 units Amp #
hormone (LH)

17.5. ANTIDIURETIC HORMONES

Desmopressin Injection 4mcg/ml Amp. #
Desmopressin Inhalaton 10mcg metered spray Spray #
Vasopressin Injection 20units/ml in 1ml ampoule Amp #

17.6. ANTI-DIABETIC DRUGS

17.6.1 Injectible Anti-Diabetics

Biphasic Isophane Insulin injection Human Soluble Insulin 30%+isophane Insulin 70% Vial 1,800.00
Insulin Soluble Injection 40 units/ml Vial 1,800.00
Insulin Soluble Injection 100 units/ml Vial 3,700.00
Insulin Zinc Suspension (I.Z.S) Injection 40 units/ml Vial 1,800.00
Insulin Zinc Suspension (I.Z.S) Injection 100 units/ml Vial 3,700.00
Isophane Insulin Injection 100 units/ml Vial 3,700.00
Protamine Zinc Insulin Injection 100 units/ml Vial 3,700.00

17.6.2. Oral Anti-Diabetics

Chlorpropamide Tablets 250mg Tab. 25.00
Metformin Tablets 500mg (HCL) Tab. 15.00
Glibenclamide Tablets 5mg Tab 15.00
Gliclazide Tablet 80mg Tab. 30.00
Gliclazide Tablet 30mg 25.00
Glimepiride Tab 1mg 45.00
Glimepiride Tab 2mg 20.00
Glimepiride Tab 4mg 140.00
Glucagon Injection 1mg/ml Amp. #
Metformin Tablets 1000mg 20.00
NHIS, 2015
 24

Metformin Tablets 850mg 16.00

Metformin + Glabenclamide Tablet 500mg (HCL) +2.5mg Tab. 20.00
Pioglitazone Hydrochloride Tab 15mg 70.00
Pioglitazone Hydrochloride Tab 30mg 80.00
Rosiglitazone Tablet 4mg Tab. 210.00
Vildagliptin Tablet 50mg Tab 220.00
Vidagliptin + Metformin Tablet 50mg/500mg Tab 220.00
Vidagliptin + Metformin Tablet 50mg/1000mg Tab 220.00

17.7. THYROID HORMONES AND ANTITHYROID DRUGS

Carbimazole Tablets 5mg Tab. 10.00
Levothyroxine Tablets 0.05 mg (sodium salt) Tab. 30.00
Levothyroxine Tablets 0.1mg (sodium salt) Tab. 30.00
Lugol’s solution Solution, oral iodine 5%, potassium iodide 10% in purified water sol. 100.00
Propylthiouracil Tablet 50 mg Tab. 300.00

17.8. BENINGN PROSTATIC HYPERPLASIA DRUGS

Dutasteride Tablet Tab 200.00
Finasteride Tablet 5mg Tab 100.00
Tamsulosin Tablet 400mcg Tab 100.00

18. IMMUNOLOGICALS

18.1 SERA AND IMMUNOGLOBULINS

Alpha interferon Injection 4.5mu Vial 6,000.00
Anti Gas – gangrene Injection 10,000, 30,000 units in vial Vial #
Anti Scorpion serum Injection 1 ml in Ampoule Amp. #
Anti snake bite serum Injection Polyvalent, 10 ml, 20 ml in Ampoule Amp. 5,000.00
Anti tetanus immunoglobin (human) Injection 1500 units/amp, Amp. 150.00
Anti tetanus immunoglobin (human) Injection 10,000 units / ampoule Amp. 1,200.00
Anti-D (Rhesus) immunoglobulin (Humans) Injection 300microgram (1,500 I.U)/ml Prefilled Syringe 13,000.00
Gas gangrene anti toxin Injection 4,000 units in vial, 10,000 units in vial Vial #
Hepatitis B Anti-serum inj 200iu Amp. 78,750.00
Hepatitis B Anti-serum inj 400iu Amp. 94,500.00
Normal immunoglobulin IV Injection, 30mg/ml, 165mg/ml Vial #
Rabies immunoglobin Injection 150 unit in ml in vial Vial . 2,500.00

18.2. VACCINES (All vaccines should comply with WHO requirements for biological substance)

NHIS, 2015
 25

18.2.1. VACCINES FOR UNIVERSAL IMMUNIZATION

BCG Vaccines dried ** Injection Powder for reconstitution in multidose amp 1ml, 5 ml
Diptheria, Tetanus and Pertussis Vaccine ** Injection 0.5ml, 5ml
Hepatitis B vaccines Liquid for injection 10 doses/vial Vial 3,000.00
Measeles, Mumps & Rubella vaccine ** Injection 0.5 ml
Measles vaccine ** Injection 0.5ml
Pentavelent Vaccine ** Injection
Poliomyelitis vaccine ** Oral suspension
Tetanus vaccine Injection Formoltoxoid, 0.5 ml, 5 ml vial 0.5ml, amp. 200.00

18.2.2 VACCINES FOR SPECIFIC IMMUNIZATION

Cholera vaccine Injection 1.5ml – 50 ml in Ampoule or vial #
Hepatitis B Vaccine Injection 0.02 mg/ml in 0.5 ml, 1 ml vial 3,000.00
HPV Vaccine (Quadrivalent) Injection 0.5mls single dose vial or prefilled inj 12,000.00
Powder for reconstitution in multidose vial of 0.5mg ,
Meningococcal vaccine Injection 6,450.00
2.5 mg
Pneumococcal Vaccine Injection 55mcg/0.5ml 15,450.00
Rabies vaccine Injection 1 ml 3,050.00
Typhoid vaccine (TAB) Injection 1.5ml/vial 450.00
Typhoid vaccine (VI antigen) Injection 10 ml vial (20 doses), 25ml/vial (50 doses), 0.5 ml/syringe 400.00
Yellow fever vaccine ** Injection Powder for reconstitution 1,5 and 10 dose vial

19. OPTHALMOLOGICAL DRUGS

19.1 ANTI-INFECTIVE
Acyclovir Eye ointment 3.00% 5gms 500.00
Chloramphenicol Eye Ointment 1% 5gm 150.00
Chloramphenicol Eye Drops 0.50% 10mls 150.00
Ciprofloxacin Drops 0.30% 10mls 200.00
Fluconsazole Eye Drops 0.30% 500.00
Gentamicin Eye Drops 0.3% (Sulphate) 10mls 150.00
Idoxuridine Eye ointment 0.10% #
Miconazole Eye Drops 500.00
Natamycin Eye Drops 50mg/ml 5mls #
Ofloxacin Drops 0.30% 10mls 300.00
Oxytetracycline plus Polymyxin B Eye ointment 5mg + 10,000 unit 5gms 300.00

NHIS, 2015
 26

Neomycin sulfate+Polymyxin B + Dexamethasone Eye Drops 3500 IU/6000iu/0.1% 5mls 700.00

19.2 ANTI ALLERGIC
Antazoline HCL, Tetrazoline HCL, Methylhydroxy
Eye Drops 5mls 600.00
Propyl cellulose.
Tetrahydrozoline(HCl) Eye Drops 0.05% 10mls 600.00

19.2 ANTI INFLAMMATORY

Amethocaine Eye Drop 0.5%, 1% 500.00
Betamethasone Eye Drops 0,10% 10mls 300.00
Betamethasone + Neomycin Eye Drops 0,10% +0.5% 10mls 300.00
Dexamethasone Eye Drops 0.10% 10mls 500.00
Dexamethasone + Chloramphenicol +
Eye Drops 10mls 650.00
Tetrahydrozolina
Hydrocortisone + Neomycin Eye Drops 1.5% + 0.5% 10mls 300.00
Ketotifen Eye Drops 250mcg/ml 5mls 1,600.00
Lodoxamide Eye Drops 0.10% 10mls #
Prednisolone Eye Drops 1% (Acetate) 5% (Sodium phosphate) 5mls 500.00
Ringer’s Lactate 150.00

19.4 ANTI-GLAUCOMA AND MIOTICS

Acetazolamide Tablet 250mg Tab. 10.00
Acetazolamide Injection 500 mg/vial Vial #
Betaxolol Hydrocloride Eye Drops 0.50% 5mls 900.00
Betaxolol Hydrocloride + Neomycin Eye Drops 5mls 900.00
Brinzolamide Eye Drops 10mg/ml 5mls 4,000.00
Dorzolamide Eye Drops 2% 5mls 4,000.00
Dorzolamide Hcl + Timolol Eye Drops 2% + 0.5% 5mls 6,000.00
Latanoprost Eye Drps 500mcg 5mls 5,200.00
Pilocarpine Eye Drops 2% & 4% (HCL) 5mls 550.00
Timolol Eye Drops 0.25, 0.5% (Maleate) 10mls 600.00
Travoprost Eye Drps 40mcg/ml 2.5mls 9,000.00

19.5 MYDRIATICS
Atropine Eye Drops 0.5%, 1% (Sulphate) 5mls 550.00
Homatropine Eye Drops 2%, 1% (Hydrobromide) 5mls 300.00
Phenylephrine Eye Drops 2.5%, 10% (HCL) 10mls 500.00
Tropicamide Eye Drops 0.5%, 1% 10mls 650.00

19.6 DIAGNOSTIC EYE DRUGS & MISCELLANEOUS PREPARATIONS

NHIS, 2015
 27

Cyclopentolate Eye Drops 0.5%, 0.1% (Hydrochloride) 10mls 750.00

Flourescein sodium Eye Drops 1%, 2% #
Methylcellulose Eye Drops 1%, 2% 850.00

20. OXYTOCICS AND TOCOLYTICS

Ergometrine Tablet 0.5mg (Maleate) Tab. 10.00
Ergometrine Injection 0.5mg/ml (Maleate) Amp. 50.00
Oxytocin Injection 10 units/ml, 5 units/ml in Ampoules Amp. 50.00
Misoprostol Pessary 3mg Pessary 90.00

21. PREPARATIONS FOR CORRECTING WATER, ELECTROLYTE & ACID-BASE DISTURBANCES

21.1 ORAL PREPARATIONS

Oral Rehydration Salt Powder (See 18.5.2) Sachet 50.00
Potassium Chloride (slow release) Tablet 600mg Tab. 10.00
Potassium Chloride (slow release) Oral solution 5%, 10%, 20% Sol. 200.00

21.2 PARENTERAL PREPARATIONS

Darrow’s Solution Injection, BP ½ & full strength 500ml IVF 200.00
Dextrose + Sodium Chloride Infusion 5% + 0.9% 500ml IVF 200.00
Glucose (Dextrose) Injection 5% & 10% 500ml IVF 200.00
Glucose (Dextrose) Injection 50% in water 500ml IVF 200.00
Glucose + Sodium Chloride (Paediatric) Injection 4.3% + 0.18% 500ml IVF 200.00
Isoplasma Infusion 1,300.00
Mannitol Infusion 10% 250.00
Mannitol Infusion 20% 300.00
Potassium Chloride Injection Strong 15% in 10ml Ampoule 10mls 200.00
Ringer’s Lactate solution 100mls 150.00
Sodium Lactate Compound solution Injection Solution, BP 500ml IVF 200.00
Sodium Bicarbonate Injection 1.4% in 10ml (isotonic) 10mls 250.00
Sodium chloride Infusion 0.9%, 0.45% 200.00
Water for injection Injection 10ml, per amp/vial Vial. 10.00

22. DIALYSIS SOLUTIONS

CaCl 0.22gm, dextrose 17g, MgCl 0.152g, Na acetate
Intraperitoneal Dialysis fluid B.P.C. Parenteral; solution #
4.76g, NaCl 5.56g, Na metabisulphate 0.15g
Haemodialysis fluid Heamodialysis fluid B.P. #

23. PSYCHOTHERAPEUTIC DRUGS

NHIS, 2015
 28

23.1 HYPNOTICS & SEDATIVES

Bromazepam Tablet 1.5mg Tab. 20.00
Bromazepam Tablet 3mg Tab. 30.00
Diazepam Tablets 5mg, 2mg, 10mg Tab. 20.00
Diazepam Injection 5mg/ml in 2ml Amp. 150.00
Flunitrazepam Tablet 1mg Tab. 110.00
Lorazepam Tablets 1mg, Tab 10.00
Lorazepam Tablets 2mg 15.00
Nitrazepam Tablets 5mg Tab. 20.00

23.2. ANTIDEPRESSANTS
Amitriptyline Tablets 25mg (HCL) Tab. 10.00
Amitriptyline Tablet 50mg Tab. 15.00
Clomipramine Tablet 10mg Tab. 66.00
Clomipramine Tablet 25mg Tab. 66.00
Citalopram Tablet 20mg Tab. 50.00
Gabapentin + Methylcobalamin Tablet 300mg + 50 mg Tab. 50.00
Imipramine Tablets 10mg, Tab. 5.00
Imipramine Tablet 25mg (HCL) Tab. 5.00
Moclobemide Tablet 150mg Tab. #
Olanzepine Tablet 5mg Tab. 50.00
Paroxetine Tablet 20mg Tab. 100.00
Paroxetine Tablet 30mg Tab. 150.00
Sertraline Capsule 50mg Caps. 70.00

23.3 ANTI PSYCHOTICS (MAJOR TRANQUILIZERS)

Carbamazepine Tablet (scored) 200mg 10.00
Carbamazepine Tablet (scored) 400mg 60.00
Carbamazepine Syrup 100mg/5ml 1,500.00
Chlorpromazine Tablets 25mg Tab. 5.00
Chlorpromazine Tablet 50mg Tab. 10.00
Chlorpromazine Tablet 100mg (HCL) Tab. 10.00
Chlorpromazine Syrup 25mg/5ml (HCL) 100mls 1,000.00
Chlorpromazine Injection 25mg/ml (HCL) in 2ml Ampoule Amp. 70.00
Fluoxethine Capsules 20mg Cap. 90.00
Fluoxethine Injection (oily) 25mg/ml in 1ml Ampoule (decanoate or enanthate) Amp. 350.00
Flupenthixol Injection (depot) 20mg (decanoate or enanthate) in 1ml Ampoule Amp. 900.00
Flupenthixol Tablet 1.5mg, 3mg Tab. 10.00
Flupenthixol Injection 50mg/ml, 100mg/ml, Amp. 150.00

NHIS, 2015
 29

Fluphenazine injection 25mg 150.00

Haloperidol Tablet 2mg, 5mg.10mg Tab. 7.00
Haloperidol injection 5mg/ml injection 630.00
Lithium Carbonate Capsules/ Tablets 300mg Cap./ Tab. #
Pimozide Tablets 4mg Tab. #
Pimozide Tablets 10mg Tab. #
Thioridazine Tablet 100mg Tab. 80.00
Thioridazine Tablet 50mg Tab. 70.00
Thioridazine Syrup 25mg/5ml 100mls #
Trifluoperazine Tablet 1mg Tab 5.00
Trifluoperazine Tablet 5mg Tab. 7.00
Valproic acid (sodium valproate) Tablet (enteric-coated) 200mg Tab 60.00
Valproic acid (sodium valproate) Tablet (enteric-coated) 500mg 140.00

23.4 ANTIDOTES TO ANTI-PSYCHOTIC DRUGS

Benzhexol (triehexylphenidyl) Tablets 2mg, 5mg (HCL) Tab. 5.00
Biperidem Tablet (Hcl) 2mg, 5mg (Hcl) Tab. #
Biperidem Injection 5mg/ml Amp. #

24. RESPIRATORY SYSTEM DRUGS

24.1. ANTI ASTHMATIC DRUGS

Aminophylline Injection 25mg/ml in 10ml Ampoule Amp. 220.00
Beclomethasone Aerosol inhalation 0.050mg/metered dose Spray 1,500.00
Ephedrine + Theophyline Tablet 11mg + 20 mg Tab. 15.00
Epinephrine (Adrenaline) Injection 1mg/ml (1 in 1000) in 1ml Ampoule Amp. 30.00
Hydrocortisone Injection 100mg/vial Vial 120.00
Ipratropium bromide Inhalation (aerosol) 20 micrograms per metered dose Spray 1,000.00
Salbutamol Tablets 2mg, 4mg (Sulphate) Tab. 10.00
Salbutamol Syrup 2mg/5ml (Sulphate) 100mls 400.00
Salbutamol Aerosol 0.1mg/metered dose Spray 700.00
Salbutamol Injection 500ug/ml Amp 350.00
Salmeterol Inhalation 100mcg/dose Spray 4,200.00
Salmeterol Inhalation 250mcg/dose Spray 4,200.00
Salmeterol + Fluticasone Inhalation 250mcg /100mcg Spray 4,000.00
Theophylline Tablet 125mg Tab. 15.00

NHIS, 2015
 30

Theophylline Tablet 250mg (SR) Tab. 30.00

24.2. ANTI-TUSSIVES, EXPECTORANT AND MUCOLYTICS

Bromhexine Tablet 8mg Tab. 20.00
Bromhexine Elixir 4mg/5ml 100mls 230.00
Cough Mixtures containing Codeine Syrup 100mls 200.00
Cough Mixtures containing Guaphenesin Syrup 100mls 200.00
Dextromethorphan hydrobromide Syrup 15mg/5ml 100mls 200.00
Diphenyl hydramine Mixtures Syrup 200.00

25. VITAMINS
Alpha tocopheryl acetate( Vitamin E) Capsules/ Tablet 100mg Cap./Tab. 20.00
Alpha tocopheryl acetate( Vitamin E) Capsules/ Tablet 1000 I.U Cap./Tab. 25.00
Ascorbic Acid Tablets 100mg Tab. 2.00
Ascorbic Acid Syrup 100mg/5ml, 200mg/5ml, 500mg/5ml 100mls 200.00
Ascorbic Acid Effervescent tablets 1g Tab. 750.00
Cyanocobalamin (B12) Injection 0.25mg in 1ml, 1mg/ml Amp. 100.00
Cyanocobalamin (B12) Tablet 0.05 mg Tab. 5.00
Ergocalciferol (Vit. D) Tablets, capsules 0.25mg, 1.25mg Tab. 10.00
Folic acid Tablet 5 mg Tab. 3.00
Multivitamin Syrup 100mls 200.00
Multivitamin Tablet Caps. 5.00
Multivitamin Drops 10mls 200.00
Pyridoxine (Vitamin B6) Tablets 10,20,50, mg (HCL) Tab. 5.00
1.5mg, 7.5mg , 15mg (5 000,25 000, 50 000 units)
Retinol (Vitamin A) Tablets/Capsules Caps. 20.00
respectively.
Retinol (Vitamin A) Tablets/Capsules 10000iu(5.5mg)/5ml Caps. 20.00
Retinol (Vitamin A) Syrup/Emulsion 60mls 300.00
Retinol (Vitamin A) Syrup/Emulsion 200mls 310.00
Riboflavine (Vitamin B2) Tablets 5mg Tab. 5.00
Thiamine (Vitamin B1) Tablets 25, 50mg (HCL) Tab. 5.00
Vitamin B Complex Tablets/Capsules Tab. 2.00
Vitamin B Complex Syrup 100mls 150.00
Vitamin B Complex Injection Vial 80.00
Vitamins B1+B6+B12 Tablet 100mg+200mg+200mcg Tab 20.00
Vitamins B1+B6+B12 Injection 100mg+100mg+1000mcg Amp. 200.00
Yeast BPC Tablets 300mg Tab. 2.00

26. MINERALS
Calcium Gluconate Tablets 600mg Tab. 3.00
NHIS, 2015
 31

Calcium Lactate Tablets 300mg Tab. 5.00

Sodium Fluoride Tablet 2.2 mg Tab. #

27. CYTOTOXICS
5 Fluorouracil (5FU) Injection 500mg 500
Doxorubicin Injection 50mg 4,000
Bicalutamide Tablet 50mg 5,500/mth
Cisplatinium 50mg 3,000
Cyclophosphamides Tablet/ Injection 500mg vial 1,000
Docetaxel Injection 80mg vial 55,000
Epirubicin Injection 50mg vial 8,500
Gemcitabine Injection 1gm vial 16,000
Granisetron Injection 3mg vial 3,000
Granisetron Tablet 2mg Tab #
Leucovorin Injection 50mg vial N1,500
Leucovorin Tablet 5mg Tab #
Ondansetron Injection 8mg vial N2,000
Ondansetron Tablet 4mg Tab #
Oxaliplatin Injection 100mg vial 40,000
Paclitaxel Injection 100mg vial 20,000
Tamoxifen Tablet 20mg Tab 1000/mth
Vincristine Injection 2mg Ampoule 4500
Xeloda Tablet 1 pack Tab 50,000
Zoladex Inj Injection Prefilled syringe
3.6mg 24,000/mth
Zoledronic acid Solution 5mg/100ml Solution 20,000/mth

28. MISCELLANEOUS DRUGS

28.1. ENZYMES
Trypsin 50,000 Armour units + Chymotrypsin 50000
Trypsin + Chymotrypsin Tablet Tab. 20.00
Armour units

28.2. CONSUMABLES
Blood giving set Unit Unit Unit 100.00
Chromic catgut Size All sizes Unit 250.00
Cotton wool Roll All sizes Unit 100.00
Crepe bandage Roll All sizes Unit 150.00
Folleys Catether Size All sizes Unit 150.00
Infusion set Unit Unit Unit 50.00
IV Cannula Size 14G,16G,18G,20G-23G,25G Unit 100.00
Mucus extractor Size All sizes Unit 130.00
Needle Unit Unit Unit 10.00

NHIS, 2015
 32

NG Tube Size All sizes Unit 100.00

Nylon Size All sizes Unit 250.00
plaster Roll All sizes Unit 250.00
Scalp vein needle Size 20G,21G,22G,23G,25G Unit 50.00
Soluset Size All sizes Unit 1,400.00
Surgical blade Size All sizes Unit 20.00
Surgical Gloves Size All sizes Unit 70.00
Syringe/Needle Unit 2ml Unit 20.00
Syringe/Needle Unit 5ml Unit 20.00
Syringe/Needle Unit 10ml Unit 20.00
Syringe/Needle Unit 20ml Unit 40.00
Urine Bag Size All sizes Unit 200.00

Kindly note that the drugs with the asterix (*) are currently being given free-of-charge to patients through different programmes coordinated by National agency for the control of
AIDS (NACA). NHIS enrollees needing these drugs should be appropriately referred.

Kindly note that the drugs with the double asterix (**) are currently being given free-of-charge to patients through different programmes coordinated by National Primary
Healthcare Development Agency (NPHCDA). NHIS enrollees needing these drugs should be appropriately referred

Kindly note that the prices of the drugs with the hashtag (#) are negotiable between the healthcare provider and the HMO.

NHIS, 2015